Tag Archives: NHS Managerial Self-Interest

Difficult Reflections on Certain Aspects of the NHS: Be Prepared to Look-Away Now (BBC News)

Posted on June 23, 2018 by Dementia and Elderly Care News

Summary You don’t want to know: Full Text Link Reference Gosport hospital deaths: prescribed painkillers ‘shortened 456 lives’. London: BBC Health News, June 20th 2018. You don’t want to know: Full Text Link Reference Triggle, N. (2018). Shipman, Bristol, Stafford, … Continue reading →

Posted in Universal Interest | Tagged Accountability, Accountability and Transparency, Adults at Risk of Harm, Ageing in the UK, Ageing Population, Ageism, Attitudes to Ageing, Availability of Opioid Painkillers, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Premature Mortality, Baker Report, BBC News Hampshire and Isle of Wight, BBC Panorama, BBC Panorama: Killed in Hospital, Bullying of Whistleblowers, Bureaucracy, Candour, Character Assassination of Whistleblowers, Closed Ranks Culture (Cover-Ups), Closed Ranks Culture (Denial), Closed Ranks Culture (Determination Not to Know), Closed Ranks Culture (Misplaced Loyalty), Closing Ranks, Collective Self-Interest (Ahead of Patients), Complaint Handling, Complaint Handling by Providers, Corporate Accountability, Corporate Self-Interest (Ahead of Patients), Culture and Leadership, Culture of Complacency, Culture of Delay and Denial, Defensive Culture, Diamorphine, Disregard for Human Life, Dr Katherine Sleeman: Cicely Saunders Institute at King's College London, Failings in Care in Hospitals, Faith-Shattering NHS Scandals, Former Minister of Care Services Norman Lamb, Freedom to Speak Up Report: Principle 3: Culture Free From Bullying, Fundamental Standards of Behaviour, Gosport Hospital Deaths: Timeline, Gosport Independent Panel, Gosport War Memorial Hospital, Gosport War Memorial Hospital: Report of the Gosport Independent Panel, Hampshire Constabulary, Harassment of Whistleblowers, Harms of Too Much Medicine, Hospital Mortality, House of Commons, In-Hospital Mortality, Inappropriate Prescribing, Inappropriate Prescribing of Painkillers, Institutionalised Determination Not to Know (Sir Brian Jarman: Allegation), Institutionalised Neglect, Institutionalised Unkindness, Matthew McClelland: Director of Fitness to Practise at Nursing and Midwifery Council, Negative Culture, NHS Corporate Self-Interest, NHS Managerial Self-Interest, Norman Lamb MP (Former Minister of State for Care and Support), Norman Lamb: Former Liberal Democrat Health Minister, Organisational Culture, Painkillers, Parliamentarians, Patient Harm, Patient Safety, Patient Safety Improvement, Peer Pressure, Postcode Lottery of Hospital Death Rates, Potentially Inappropriate Prescribing, Premature Mortality, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventing Premature Mortality, Principles of Good Complaint Handling, Professor Richard Baker: Leicester University, Professor Sir Brian Jarman, Professor Sir John Strang: Director of National Addiction Centre at King's College London's Institute of Psychiatry Psychology and Neuroscience, Rachel Power: Chief Executive of Patients Association, Reducing Avoidable Premature Mortality, Reducing Premature Mortality, Right Reverend James Jones KBE: Chair of Gosport Independent Panel, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Super-Strength Painkillers, Syringe Drivers: Opioid Delivery, Top-Down Managerial Culture, Treatment of Whistleblowers (Shoddy), Unnecessary In-Hospital Deaths, Unresponsive Culture, USA Opioid Epidemic, Values, Victimisation of Whistleblowers, Warning Signs, Whistlelowing, Willful Blindness | Leave a comment

Latest NHS Whistleblowing Policy (NHS Improvement)

Posted on April 21, 2016 by Dementia and Elderly Care News

Summary NHS Improvement has released a summary of NHS whistleblowing policy, in the form of a practical handbook. The aim is to promote an open and supportive culture which encourages staff to raise concerns about patient care quality or safety … Continue reading →

Care Home Residents’ Access to GPs For Basic Health Care: Far Sighted or Short Sighted GP Contract Changes? (BBC News)

Posted on February 2, 2016 by Dementia and Elderly Care News

Summary Care home residents are generally 50% more likely to be admitted to hospital as an emergency than other older persons, and might be expected to be a high priority for primary care. Paradoxically, there are reports that GPs have … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Access and Equity For Care Home Residents to Local NHS Services, Access to Care, Access to General Practice, Access to GP Services, Access to Hospital Services, Access to Primary Care, Access to Services, Age Discrimination, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, Barriers: Access to Funding, Barriers: Discrimination, Barriers: Inconsistency in Care Standards, Barriers: Lack of Continuity of Care, Barriers: Lack of Timely and Appropriate Diagnosis, Barriers: Potential Age Discrimination, Care England, Care for Vulnerable Older People, Care Home Residents, Care Home Sector, Care Homes, Care Homes Wellbeing, Care Homes: Quality Indicators, Care of Vulnerable Adults, Charges for GP Visits, Clinical Input Into Care Homes, Consumer Vulnerability, Corporate Self-Interest (Ahead of Patients), Dementia-Friendly Care Homes, Empowering GPs to Help Vulnerable Patients (and Carers) to Access Services, Enhanced Health in Care Homes, Factors Contributing to Vulnerability, General Practice, GP Access, GP Contracts, GPs, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, High Quality Health Care for Older Care Home Residents, Improving Standards in Care Homes, Integrated Primary and Acute Care Systems (PACS) Vanguard Sites, NHS Managerial Self-Interest, Nursing Homes, Older Care Home Residents, Patient Experience, Patient Safety, Preventable Harm, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary and Acute Care Systems (PACS), Primary Care: GP Consultations / Visits, Quality and Continuity of Care for Vulnerable Patients (New Deal), Rationing, Rationing Care, Residential Homes, Retainer Fees for GPs, Support to Care Home Residents, Supporting Vulnerable People, Targeting Resources on Vulnerable Populations, Vulnerable and Disadvantaged Groups | 1 Comment

The Foundations for a Patient-Centred NHS Learning Culture? (Department of Health / BBC News)

Posted on July 21, 2015 by Dementia and Elderly Care News

Summary This “Learning Not Blaming” report presents the government’s response to (i) the Francis Freedom to Speak Up review, (ii) the Morecambe Bay Investigation, and (iii) the Public Administration Select Committee’s report on clinical incidents. The common theme for addressing … Continue reading →

More on the NHS Culture of Openness: Lessons From Two Francis Inquiries (Department of Health)

Posted on February 13, 2015 by Dementia and Elderly Care News

Summary The Government has published a report explaining progress in the NHS since the Francis Inquiry report (February 2013) . It supports the full adoption, in principle, of Freedom to Speak Up review recommendations to protect whistleblowers who raise legitimate … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Assessing Risk of Harm (Not Just Past Harm), Avoidable Harm, BBC Health News, Behaviours to Enable Whistleblowing, Berwick Review, Berwick Review of Patient Safety, Better Care for Older Patients With Dementia, Building Capability, Candour, Care Certificate, Cavendish Review, Centrally-Driven Proposals, Challenges of Reconfiguration, Character Assassination of Whistleblowers, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Code of Conduct for Healthcare Support Workers, Commonwealth Fund, Compassion in Practice, Compassionate Care, Configuration of Services, Consequences of the Francis Inquiry Report, Culture Change, Culture Change in the NHS, Culture Change in the NHS: Lessons of Two Francis Inquiries, Culture of Compassionate Care, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in Hospitals, Duty of Candour, EU Council’s Recommendations on Patient Safety and Health Care Associated Infections, Fit and Proper Persons Requirement for Directors, Francis Effect, Francis Inquiry, Francis Inquiry Report, Francis Report, Francis Report: Part of a Linked Set of Reports on Quality, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom to Speak Up Guardians, Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Fundamental Standards, General Hospitals, General Medical Council (GMC), Government Response to Francis Inquiry Report, Harassment of Whistleblowers, Hard Truths, Health Education England Commission on Education and Training for Patient Safety, Health Education for Safety, Helene Donnelly OBE: Ambassador for Cultural Change at Staffordshire and Stoke on Trent Partnership NHS Trust, Honesty, Honesty and Transparency, Implications of the Francis Inquiry Report, Incident Reporting, Initiatives and Reviews into Quality of Hospital Care 2012/13, James Titcombe: National Advisor on Patient Safety and Culture & Quality at Care Quality Commission, Jane Cummings: Chief Nursing Officer for England, Keogh Mortality Review, Listening to Patients, Listening to Staff, Local Patient Safety Collaboratives, Medical Schools Council, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, MyNHS Website: Comparing Safety Data, National Patient Safety Alerting System (NPSAS), NHS Culture, NHS England National Patient Safety Alerting System, NHS Leadership Academy’s Executive Fast Track Programme, NHS Litigation Authority, NHS Managerial Self-Interest, NHS Reform, NHS Safe Staffing, NHS Trust Development Authority, NHS Trusts and Foundation Trusts in Special Measures: 18 Months On, Nurse Staffing Levels, Nursing and Midwifery Council (NMC), Nursing Standards, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Outcome Metrics, Overbearing NHS Managerial Style, Patient Safety, Patient Safety Collaboratives Programme, Patient Safety Improvement, Patient-Centred Leadership, Patients First and Foremost, Person-Centred Model of Care for Patients with Dementia, Preventing Poor Care, Professor Don Berwick, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Professor Sir Norman Williams: President of Royal College of Surgeons, Professor Steve Field: Former Chief Inspector of General Practice (CQC), Public Interest Disclosure (Prescribed Persons), Putting Patients First, Quality Improvement, Quality Standards, Quality: Above Money, Raising Concerns, Reactions to the Francis Inquiry Report, Reconfiguration of Emergency Care System, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Reporting Culture in the NHS, Review of NHS Complaints System, Safe Staffing, SAFE: Safety Action for England, Safety Action for England Team (SAFE), Safety and Quality Standards, Safety Metrics, Safety Surveillance, Salford Royal NHS Foundation Trust, Serious Incident Framework, Sign Up to Safety Campaign, Sir David Dalton: Chief Executive of Salford Royal NHS Foundation Trust, Sir Robert Francis QC, Speaking Up Charter, Special Measures, Staff Whistleblowing Rights, Staffing, Standards of Care, State of Care 2013/14 (CQC), Structures to Enable Whistleblowing, Surgical Never Events Task Force Reference Group, Systems to Support Whistleblowing, Technology Enhanced Learning, Transparency, Ward Staffing Levels, Whistleblowing, Whistleblowing Helpline, Whistleblowing in the NHS | Leave a comment

Whistleblowing in the NHS: Light at the End of the Tunnel? (BBC News / NHS England)

Posted on February 11, 2015 by Dementia and Elderly Care News

Summary The review of NHS reporting culture led by Sir Robert Francis QC, which has been working achieve better protection of NHS whistleblowers who raise concerns, will report later today. The “Freedom and Responsibility to Speak Up” review was expected … Continue reading →

More on Barriers to Effective Whistleblowing (BBC News / Patients First / Health Select Committee)

Posted on September 22, 2014 by Dementia and Elderly Care News

Summary Whistleblowers who “speak out” about their concerns concerning care standards in the health service may still face obstacles, problems and intimidation, despite recent progress in the creation of a more open and transparent NHS culture. Patients First has submitted … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged Ann Clwyd MP, BBC Health News, Behaviours to Enable Whistleblowing, Cathy James: Chief Executive of Public Concern, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Complaint Advocacy Services, Complaint Handling, Complaint Handling by Providers, Complaint Handling in Social Care, Complaints and Raising Concerns, Complaints Handling in Primary Care, Complaints Matter, Complaints Programme Board (CPB), Complaints Wales, Culture, Culture Change, Defensive Leadership, Duty of Candour, Failure to Act, Fear of Raising Concerns About Care, Francis Inquiry, Francis Inquiry Report, Francis Report, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Gagging Orders, General Medical Council (GMC), Handling of Complaints by Commissioners, Harassment of Whistleblowers, Hard Truths, Health Select Committee (HSC), Health Service Ombudsman, Healthwatch and Public Involvement Association (HAPIA), Healthwatch England: Power to Act as Supercomplainant on Behalf of Consumers, Honesty, House of Commons Health Committee, House of Commons Health Committee Report on Complaints and Raising Concerns, House of Commons Health Select Committee, Implications of the Francis Inquiry Report, Incident Reporting, Katherine Murphy: Chief Executive of the Patients Association, Local Ward Cultures, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Managerial Self-Interest, No Wrong Door Policy, Nurse Helene Donnelly, Nursing and Midwifery Council (NMC), Nursing and Midwifery Council’s Raising Concerns, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, PALS and NHS Complaints Advocacy Arrangements, Parliamentary and Health Service Ombudsman, Patient Advice and Liaison Service (PALS), Patients First (Support Organisation), Patients First and Foremost, Positive Culture, Principles of Good Complaint Handling, Professional Regulators and Complaints, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Programme to Identify Whistleblowers Who Have Suffered Detriment, Proposal for Single Complaints Gateway for Health and Social Care, Proposal for Single Health and Social Care Ombudsman for England, Public Administration Select Committee (PASC), Public Concern at Work, Public Interest Disclosure Act (PIDA), Public Services Ombudsman for Wales, Putting Patients First, Raising Concerns, Raising Concerns Policy, Raising Standards, Relatives and Residents Association, Reluctance to Raise Concerns About Care, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Role of Commissioners in Complaints, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Shaping Culture, Sir Robert Francis QC, Staff Awareness, Staffordshire & Stoke on Trent Partnership NHS Trust, Statutory Duty of Candour, Structures to Enable Whistleblowing, Supercomplainant on Behalf of Consumers, Systems to Support Whistleblowing, Treatment of Staff Raising Concerns, Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the NHS, Whistleblowing in the Public Sector | Leave a comment

Healthcare Providers Supplying Misleading Information: Consultation (Department of Health)

Posted on April 26, 2014 by Dementia and Elderly Care News

Summary The Care Bill 2014 will make it a criminal offence for healthcare providers to supply or publish false or misleading information. The offence in the Care Bill is wide in its areas of potential interpretation, so may be limited by … Continue reading →

Posted in Commissioning, Department of Health, In the News, Local Interest, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged Accuracy of Public Information, Ambulance Response Rate Times, Applying FOMI to Quality Accounts, C.difficile Rates, Cancer Outcomes Dataset, Candour, Care Bill 2013-14, Commissioning Data Sets (CDS) and Quality Accounts, Consequences of the Francis Inquiry Report, Culture Change, Data Errors, False or Misleading Information, False or Misleading Information (FOMI), FOMI Offence, Friends and Family Test (FFT), Government Response to Francis Inquiry Report, Hard Truths, Healthcare Providers Supplying Misleading Information: Consultation, Honesty, Hospital and Community Health Services (HCHS) Complaints, Hospital Mortality Rates, Hospital Standardised Mortality Ratios (HSMRs), Implications of the Francis Inquiry Report, Improving Patient Safety, Incentivising Candour, Inspections by CQC, Liberating the NHS: Transparency in Outcomes, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS Foundation Trust Public Inquiry, Misleading Information, Myocardial Infarction, National Cancer Waiting Times Dataset, National Maternity Services Dataset (NMDS), NHS Culture, NHS Managerial Self-Interest, NHS Trusts and Foundation Trusts, Open Culture, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, Patient Safety Incident Reporting, Patient-Centred Culture, Positive Culture, Provider Registration with CQC, Reporting Culture, Risk Assessment for Venous Thrombo-Embolism, Stroke, Summary Hospital-level Mortality indicator (SHMI), Transparency, Transparency and Accountability, Transparency and Open Data, Transparency and Public Trust | Leave a comment

Whistleblowing in the NHS: Theory Versus Practice? (BBC News / Whistleblowing Helpline / NAO / SCIE)

Posted on April 18, 2014 by Dementia and Elderly Care News

Summary Dr Raj Mattu, a heart specialist was dismissed by University Hospital of Coventry and Warwickshire NHS Trust in 2010, after almost a decade of alleged unfair treatment by his employers, since exposing the cases of two patients who had … Continue reading →

Posted in Acute Hospitals, BBC News, In the News, National, National Audit Office, NHS, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged BBC Health News, BBC News: Coventry & Warwickshire, BBC News: Today (Radio 4), BBC Radio 4: Today Programme, Behaviours to Enable Whistleblowing, Bullying of Whistleblowers, Candour, Character Assassination of Whistleblowers, Corporate Self-Interest (Ahead of Patients), Culture of Delay and Denial, Defensive Leadership, Dr Raj Mattu (Consultant), Fear of Raising Concerns About Care, Flowchart of Whistleblowing Process, Freedom To Speak Up Review (Sir Robert Francis QC), Goldman Sachs, Harassment of Whistleblowers, HMRC, Honesty, House of Commons, House of Commons Committee of Public Accounts, Improving Patient Safety, Incentivising Candour, Local Ward Cultures, Margaret Hodge, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, National Audit Office (NAO), Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Hospitals Complaints System, NHS Managerial Self-Interest, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, Parliamentarians, Patient Safety, Patient Safety Incidents, Patients First and Foremost, Public Accounts Committee, Public Concern at Work, Public Disclosure Act (1988), Public Interest Disclosure Act 1998 (PIDA), Putting Patients First, Qualtrics, Raising Concerns, Raising Concerns Around Deaths, Raising Concerns Policy, Reluctance to Raise Concerns About Care, SCIE Social Care TV, Shaping Culture, Sir Robert Francis QC, Social Care Code of Conduct, Social Care Commitment, Social Care TV, Speaking Out, Staff Awareness, Stages in Raising Concerns, Structures to Enable Whistleblowing, Systems to Support Whistleblowing, Treatment of Whistleblowers (Shoddy), Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the Public Sector, Whistleblowing In the Wind, Whistleblowing Policy, Winterbourne View Hospital, Workplace Culture, Zero Tolerance Approaches | Leave a comment

CQC Inspection Report Criticises Furness General Hospital Dementia Unit (BBC News)

Posted on November 29, 2013 by Dementia and Elderly Care News

Summary The Care Quality Commission (CQC) attributed problems in the standards of care in the Ramsay Unit at Furness General Hospital primarily to “chronic staff shortages”. New admissions to the unit were halted by the Cumbria Partnership NHS Foundation Trust briefly, after an … Continue reading →

Posted in Acute Hospitals, BBC News, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), In the News, National, NHS, NHS England, Patient Care Pathway, Proposed for Next Newsletter, Quick Insights, Standards, UK, Universal Interest | Tagged Avoidable Harm, Avoidable Mortality, Avoidable Premature Mortality, Capacity and Capability of Regulators, Care Quality Commission (CQC), Care Quality Commission Monitor and Department of Health Liaison, Central Manchester Report (December 2011), Central Manchester University Hospital Diagnostic Review (2011), Central Manchester University Hospitals NHS Foundation Trust, Centre for Maternal and Child Enquiries (CMACE), Clinical Risk Recognition and Planning, Complexity in the Complaints System, Corporate Self-Interest (Ahead of Patients), Cover-Ups (Attributed), CQC Failings, CQC Hospital Inspections, Culture, Culture Change in the NHS, Cumbria, Cumbria Partnership NHS Foundation Trust, David Behan: Chief Executive of Care Quality Commission, David Bennett: Chief Executive of Monitor, David Flory: Chief Executive of NHS Trust Development Authority, Delayed Problem Recognition, Dr Bill Kirkup CBE, Dr Mike Durkin: NHS England’s Director of Patient Safety, Dr Peter Carter: Chief Executive and General Secretary Royal College of Nursing, Failure of Communications and Inadequate Processes, False Assurance, Fielding Report, Flynn Report, Former Health Secretary Jeremy Hunt, Foundation Trust Status, Foundation Trust Status Distractions, Freedom to Speak Up Report: Principle 1: Culture of Safety, Freedom to Speak Up Report: Principle 2: Culture of Raising Concerns, Freedom to Speak Up Report: Principle 7: Raising and Reporting Concerns, Furness General Hospital, Furness General Hospital Dementia Unit, Furness General Hospital in Cumbria, Furness General Hospital: Ramsay Unit, General Medical Council (GMC), Gold Command, Gold Command Process, Health and Safety Executive (HSE), Health and Social Care (Community Health and Standards) Act 2003, Health Systems in Transition (HiT), Hospital Mortality, Hospital Mortality Rates, Inspection and Regulation, Joshua Titcombe, Kirkup Recommendations for Wider NHS, Lack of Clarity About Roles, Lack of Clarity on Overall Responsibility, Local Supervising Authority, Local Supervising Authority Midwifery Officer (LSAMO), Missed Opportunities, Morecambe Bay Inquiry, Morecambe Bay Investigation Report, Negative Culture, NHS Accountability, NHS Corporate Self-Interest, NHS Culture, NHS Litigation Authority (NHSLA), NHS Litigation Authority’s Clinical Negligence Scheme for Trusts (CNST) Reports, NHS Managerial Self-Interest, NHS Micro-Climates, NHS Regulation, NHSLA Accreditation, North West Health Authority, North West Strategic Health Authority (NW SHA), Nursing and Midwifery Council (NMC), Openness, Over-Complexity, Over-Reliance on External Approval, Over-Reliance on External Judgments, Over-Reliance on Judgments of Others, Parliamentary and Health Services Ombudsman, Patient Safety, Peter Carter: Royal College of Nursing, Preventable Hospital Mortality, PricewaterhouseCoopers (PwC) review of Trust-Wide Governance, Professor Sir Bruce Keogh, Quality Surveillance Groups, Recommendations for the University Hospitals of Morecambe Bay NHS Foundation Trust, Reducing Complexity, Regulating Healthcare Systems, Regulating Healthcare Systems: Monitor, Regulation, Regulators, Regulators Sharing Information, Regulatory and Professional Bodies, Regulatory Gaps in Healthcare, Regulatory System, Report Into Maternity Care at Cumbria’s Furness General Hospital, Report of the Morecambe Bay Investigation, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safe Staffing Levels, Scrutiny, Scrutiny of Perinatal and Maternal Deaths, Second Mid Staffs: Furness General Hospital Parallels, Serious and Untoward Incidents (SUIs), Simon Stevens: Chief Executive of NHS England, Staffing (Hospitals), Staffing Levels, Systems Complexity, Target Culture, Target-Chasing (Hitting the Target Missing the Point), Transparency and Accountability, Una O’Brien: Department of Health, Unannounced Care Quality Commission Inspection, Unannounced Hospital Inspections, University Hospitals of Morecambe Bay NHS Trust, Unnecessary In-Hospital Deaths, Whistleblowing, Workplace Culture | Leave a comment

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